Provider Demographics
NPI:1376968644
Name:LEDDY, ERIN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LEDDY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BISHOP DR
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1314
Mailing Address - Country:US
Mailing Address - Phone:610-764-7447
Mailing Address - Fax:
Practice Address - Street 1:118 BISHOP DR
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1314
Practice Address - Country:US
Practice Address - Phone:610-764-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127065104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker